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Climate Change: An Overview of Potential Health Impacts Associated with Climate Change Environmental Driving Forces

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Renewable Energy and Sustainable Buildings

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Abstract

Background: Climate change is the “biggest global health threat of the twenty-first century; many observers expect that earth will warm to at least 2 °C (3.6 °F) over the preindustrial average; rainfall patterns will change; extreme weather events will become more frequent; sea levels will rise, with increased flooding in coastal areas; and so forth. Such changes may have serious repercussions for children and families worldwide. Climate change entails a wide variety of public health risks, authorities and other stakeholders thus need to understand current and projected impacts of climate change and their implications for health to prepare and implement a variety of responses to ensure an optimal level of adaptation. Examples of such responses include early warning systems, emergency management plans and provisions and health systems strengthening; other preventive measures include safer housing, flood protection, vector control, and improved surveillance.

Objectives: (a) To review the direct and indirect impact of climate change on health, (b) to provide evidence of climate change and related infectious diseases, (c) to highlight on the serious diseases correlated with climate extremes, (d) to provide an evidence for estimating disease burden and risk factors correlated with climate change, and (e) to review climate change health impacts on developed and developing countries with more focus on middle East.

Methodology: This paper uses a systematic review of different studies and journal articles addressing climate change issue, besides reviewing the publications addressed by global and international health institutions and organizations, such as WHO Organization, CDC, and NIH. Findings are synthesized, summed up, and interpreted to generate the evidence. Different key words were used to synthesize the inputs, such as climate change, infectious diseases, developing countries, developed countries, Middle East, and burden of disease.

Key findings: Climate change is expected to cause approximately 250,000 additional deaths per year between 2030 and 2050, approximately 87 million people were displaced due to extreme weather events between 2008 and 2011. WHO estimates that every year about 150,000 deaths occur worldwide in low-income countries due to adverse effects of climate change, such as malnutrition, floods, diarrheal diseases, and malaria. FAO estimates that by 2030, up to 122 million more people could be forced into extreme poverty because of climate change. Direct health effects will be temperature-related illness and death, extreme weather-related health effects, and airborne-related health effects. Indirect health effects are water and foodborne, vector-borne, and rodent borne diseases, food and water shortage, and nutritional and mental health effects. Excess mortality due to heat waves is greatest in the elderly and those with low immunity. This mortality occurs because of CVD or cerebrovascular or respiratory diseases. Winter mortality was reported to be 10–25% higher than those in summer, due to CVD, circulatory and respiratory diseases, and influenza outbreaks. In terms of Burden of disease, measured by DALYs, climate change is estimated to have caused the loss of over 150,000 lives and 5,500,000 DALYs (0.3% of deaths and 0.4% of DALYs, respectively).

The Middle East is going to experience climate change threatening basic life, due to reduced surface water hitting agriculture and resulting in crop failure and might lead to starvation and poverty. Lack of available drinking water will increase cholera and other waterborne diseases. The government could respond by importing more water at a financial cost but also an environmental one, as it requires transport, causing again the release of CO2. UAE has one of the highest levels of GHG emissions per capita; however, there are only limited impacts on infectious and diarrheal diseases in the UAE due to relatively low baseline levels of these climate-sensitive diseases. The major impacts of climate change in the UAE are expected to be increased heat stress.

Conclusion: Climate change has enormous and diverse effects on human health. Rises in temperature and sea level and extreme weather events such as floods cause water logging and contamination, which in turn exacerbate diarrheal diseases. Vector-borne diseases and other communicable disease will be the result of climate change. Poor and poorer nations will be more impacted due to fragile health systems and resources.

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Appendices

Appendix 1: Extreme Weather Events and Related Health Problems

 

Primary environmental effects

Social effects

Health impacts

Vulnerable groups

Heat- waves

Reduced crop productivity

Increased food prices

Increased total mortality

Diabetes

Elders

Animals death

 

Cause-specific mortality

Mental health

Children

Fires

 

Respiratory diseases

CVD

People with pre-existing chronic diseases

  

Rental diseases

  

Floods

Increase bacteria

Infrastructure damage

Mortality due to drowning

Injuries

Elders

Parasites

Mobility

CVD

Intoxication

People live in flood plains

 

Relocation

Injuries

Mental health

Repair workers

 

Interruption of healthcare provision

Respiratory infections

  

Droughts

Reduced crop productivity

Relocation

Protein-energy malnutrition

Skin diseases

Children

Inadequate water supply

Inadequate sanitation services

Micronutrient deficiency

 

Women

Lack of water

Lack of sanitation

Skin diseases

  

Animals deaths

 

Infectious diseases

  
  

Acute respiratory infections

  

Fires

 

Measles

  

Fires

Toxic and pollutants in the air

Infrastructure damage

Deaths

 

Young children

  

Burning injuries

 

Pregnant women

  

Asthma

Eyes irritations

Elders

  

Chronic diseases

 

CVD patients

  

CVD

 

Respiratory patients

  

Mental health

 

Fire fighter

Appendix 2: Increase of Temperature and Changes in Precipitation and Related Health Problems

 

Primary environmental effects

Social effects

Health impacts

Vulnerable groups

Glacier melting and Sea level rise

Floods risk

Relocation

Injuries

Morbidity

Everyone

Breaking down of coastal settlement

 

Morbidity

Mortality

Water quality

 

Waterborne diseases

Diarrheal diseases Cholera/typhoid

Higher sea surface temperatures increase the occurrence of algal

 

Poisoning

Algal blooms

  

Foodborne diseases “Salmonella”

Parasitic diseases such as amoebiasis, giardiasis and cryptosporidium

Reduced food yields

 

Changes in food availability

Malnutrition

Child development

Children

 

Change in food price

Micronutrient deficiencies

 

Pregnant women

Ecosystem changes

Microbial ecology change

 

Vector- borne diseases

Leishmaniasis

Everyone

Host animals

 

Rodent borne diseases

Dengue

Vectors

  

Tickborne diseases

Pathogens multiplications

   

Heavy Storms

Air pollution

 

Morbidity

CVD

People with chronic diseases

  

Mortality

Respiratory diseases

 
 

Displacements

Mental health

 

Children

 

Loss jobs

Other related risks to lack of accessing health services

 

Children, Elders

 

Loss of livelihood

   

Heavy rainfall

Transfer terrestrial microbiological agents into drinking-water sources

 

Cryptosporidiosis, giardiasis, amoebiasis, typhoid

 

Everyone

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Fadda, J. (2020). Climate Change: An Overview of Potential Health Impacts Associated with Climate Change Environmental Driving Forces. In: Sayigh, A. (eds) Renewable Energy and Sustainable Buildings. Innovative Renewable Energy. Springer, Cham. https://doi.org/10.1007/978-3-030-18488-9_8

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  • DOI: https://doi.org/10.1007/978-3-030-18488-9_8

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